Otitis media - ntoni na? Chronic otitis eendaba: Iimpawu kunye noNyango e abadala kunye nabaNtwana

Abantu abaninzi, bejamelene isifo indlebe, uyazi kakuhle, ukuba une "zosasazo otitis", yintoni na. Esi sifo lubonakala ngokuba iimpawu noko kabi ebuhlungu. Ukongeza, nkqu uhlobo wobulali wesifo uyakwazi ukususa ngokukhawuleza ubovu. Kule unyango meko kakhulu nzima ngakumbi. Ngapha koko, kuyimfuneko ukuba atshabalalise usulelo yenzelwe i indlebe. Ukungahoywa kunye nonyango ngokwaneleyo badla nemiphumela emibi kakhulu. Kulo mzekelo, kwafunyaniswa ukuba otitis esinganyangekiyo. Yintoni na, nendlela ukulwa nalo? Makhe uphando.

Otitis media - ntoni na?

Esi sifo yinkqubo yokukrala ibiselidubule, esizibonakalisa phantsi kwempembelelo iintsholongwane nomngundo iyingozi.

Xa otitis iimpawu kunokwenzeka ezifana:

• umkhuhlane;
• ubuthulu;
• buhlungu;
• ucaphuka kakhulu;
• ukulahlekelwa onombilini.

Ubume indlebe kunye ezahlukeneyo esi sifo:

1. Inxalenye engaphandle lixhotyiswe isinki. Oku kuquka meatus eziviwayo. Xa ekumisweni ukudumba kule ndawo kukhona otitis ongaphandle.
2. Walimala and bone nendlebe zendlebe siyahlukana inxalenye engaphandle. Ngokufuthi sifo iyakhula kule nxalenye indlebe kwisisu. Le emoyeni - media otitis.
3. Endlebeni yi ezinqinileyo kunye labyrinths membranous. Ukudumba kule ndawo abantwana lula. Ukugula egubungele le ndawo, ngokuba labyrinthitis (ngaphakathi okanye otitis).

Eyona eyingozi - indlela entsha sifo. Nakuba kunjalo, kuzo zonke iintlobo zezifo ukucothise unyango kagqirha ayikho imfuneko. Ukuba une eendaba otitis kufuneka baqonde ngokucacileyo - ntoni na, kwaye kuyingozi.

Ngokutsho nokuqukuqela sifo iintlobo zezifo zilandelayo:

• elibukhali - iyaphuhliswa ngethuba leeveki 3;
• subacute - ingathatha iinyanga 3;
• ezingapheliyo - unako ukuthatha ukuya kwiinyanga ezintandathu.

Ifom ezingapheliyo of otitis

Amaninzi, le ngezifo senzeka kwi nendlebe. Chronic media otitis kungabonwa kule inxenye engaphandle. Le ndawo ye sisikhwebu ngaphantsi singangena kwiimpembelelo yayintsholongwane eyosulela, kuba akavumeli usulelo ukuba zingene nzulu kulo kwithishyu. Ukongeza, otitis lwangaphandle ngokulula zifo.

Khumbula, kunyanzelekile ukuba udibane nogqirha kunye nezigulo ezifana otitis. Iimpawu noNyango ekwazi ukubona kakuhle oyingcaphephe ofanelekayo kuphela.

Malunga ngezifo ezingapheliyo zibonisa mpawu zilandelayo:

• Amanzi ubovu ngendlela ukusuka indlebe kwisisu;
• tympanic inwebu perforation umlenze obala;
• ukuncitshiswa ukuva.

Ngokufuthi le fomu kwesi sifo kuphuhliswa ebuntwaneni. Kodwa ngokuhamba kwexesha, usulelo ebangela uphuhliso ukudumba kwi inwebu kwiinwebu indlebe. Ukuba ixesha akafuni afune uncedo lonyango, kunokwenzeka ukuyilwa ukudumba kakhulu.

Izinto ezibangela otitis ezingapheliyo

Kutheni kukho lo zokugula? Kubalulekile ukuqonda oko ekwenza otitis indlebe. Iimpawu kunye nonyango lwesifo esingapheliyo kuya kuxoxwa ngezantsi. Okwangoku, ibattery, yintoni izifo kunye nemeko ebangela isifo elinzulu.

Uphuhliso fomu ezigulo ezondeleyo landulelwa ukuyilwa eendaba otitis ahlekise okanye kut- ngendlela lweenkqubo arhabaxa.

Gciwane Staphylococcus aureus, nto leyo yomelezwa sisenzo Pseudomonas aeruginosa kunye nezinye iindidi iintsholongwane. Amaxesha amaninzi, abantwana kunye abanamajoni omzimba buthathaka uyakwazi ukubona iintlobo ezahlukeneyo amakhowa, indawo yokuhlala apho lisebenza indlebe.

Kwakhona, uphuhliso kumajelo otitis kungabangela iziyobisi ezinamandla, ezifana antibiotics. Phantsi impembelelo yabo umngcipheko kumajelo ezingapheliyo otitis landa.

Ubangelwa sifo:

• olwenzeka ukwanda kwaziwe eziyingozi;
• iziyobisi ezichaphazela buthathaka imisebenzi ibakhusela umzimba;
• uphazamiseko uhlelo lwezifundo imithi;
• igazi;
• diabetes;
• beriberi;
• ephula umsebenzi yokuphefumla, ubukho sinusitis esingapheliyo, ugobile ekudibaneni ngeempumlo;
• rhoqo abakhuselekanga amanzi endlebeni.

Emva kumajelo etsolo otitis eso sinyangekile, esinganyangekiyo amiliswe ngaphakathi kwiminyaka embalwa. ngezifo ezifana iyakwazi ukuphuhlisa iminyaka emininzi, ngexesha apho umntu iye yehla kakhulu ukuva. Ingozi kukuba le nkqubo kade, phantse imperceptible kumguli.

zesifo sifo

Enye iimpawu eziphambili sifo lwenkqubo obhobhozayo ubovu ukusuka indlebe. Loo inkqubo ezingahambi ubuhlungu, ngenxa yesi sizathu akukho esingenakubangela naliphi na inkathazo.

Ukufikelela kugqirha idla nomsindo akukho kukhululeka ubovu, kunye nezigulo ezifana kuzwa. Ngelishwa, Lubonakala ngokusebenzisa indlebe otitis.

Iimpawu ezibonisa kwezifo esingapheliyo:

• ubomvu olunamandla;
• nevumba elibi evela indlebe;
• imvakalelo njalo stuffiness;
• ingxolo ezindlebeni;
• intlungu ezikumila ezahlukeneyo, nto leyo ezinokuvela kwakunzima ukuphuma netuwa ubovu;
• ukufumana ingqiqo ulwelo njalo ilitye le indlebe.

iintlobo zezifo

Kuxhomekeka ukuhamba inkqubo yokukrala losasazo esinganyangekiyo otitis ukuze ibe luhlobo:

1. Mezotempanit. Yena wenza lokusekwa umngxuma indlebe. Ngenxa yoko, umonakalo zingenzeka ukudumba wendlebe kwisisu oluphakathi kunye ossicles eziviwayo.
2. isifo eliphezulu ekhaya. Inokubuyiselwa luphawulwa ukuhlukunyezwa nakumphezulu indlebe igubu kunye nendlebe eliphakathi. Pathology uyakwazi ukunika amandla okuqhubela ukuba kutshatyalaliswe ithambo. Olu hlobo eendaba otitis lunokwenzeka ixesha elide yaye ibe nempembelelo engentle kummandla we ebuchotsheni. Ngaloo ndlela ufuna utyando kuyimfuneko.
3. indlebe iglu. Oku kuvela ukungasebenzi le tube Eustachian. Kodwa kule nkqubo i indlebe vingci. Amaninzi kule ngezifo kwenzeka ukuqokelelana ulwelo, nto leyo echaphazela ancedisana indlebe engaphakathi. Oku kudale isimo engasi intlungu. Ngokuqhelekileyo oku kuyaphela ayikwazi azisayi kunyanyezelwa.
4. ifomu enamathelayo. Kuyinto ingxaki yokuba ephindaphindekayo otitis rhoqo. Ebonakalisa njengoko loloyiko kwisisu tympanic. Ngamanye amaxesha kukho omnye ikliniki. Kwezinye izigulane Kwimeko ye-inwebu United kunye ossicles eziviwayo. Kulo mzekelo, kukho ukuhla elibukhali iindlebe.

iingxaki kunokwenzeka

Xa iintlobo ezondeleyo ekuphuhlisweni esi sifo zimbi kakhulu acuity eziviwayo. Oku kubangelwa ndizayo deformation.

Chronic media otitis ke iintlobo ezimbini:

1. Ebubonisayo. Ubonakala ngohlobo utshintsho zophendlo lwezifo ezalisekileyo esikhwebini yangaphakathi (tympanic). Nangona kunjalo, le ntsholongwane musa ukuhamba kunye lweHo- iqokobhe. Isikakhulu ebubonisayo media otitis ibangela akukho iingxaki yaye sele kunyiniwe. Olu uhlobo losulelo ihlala iintsuku ezimbalwa. ukudumba ebubonisayo kwenzeka kuphela walimala (mezotimpanum).
2. otitis amabi. Ngenxa uphuhliso olukhawulezayo iinkqubo ukudumba, usulelo utshisa eludongeni ithambo le indlebe kwisisu. Kwaba kukhona ke, babathwalela nokukhula kwisisu. Isiphumo ukutshatyalaliswa ukubunjwa ithambo.

Yeyona kuhlobo lwesibini eendaba otitis kunokubangela iingxaki ezininzi kakhulu;

• imbubhiso bone;
• uphuhliso mastoiditis;
• ekumisweni granulation inyama;
• ubuthulu epheleleyo;
• uphuhliso cholesteatoma;
• ithumba ubuchopho;
• deformation ye-luvo yobuso.

Ezi ziphumo zinakho ukuthintelwa ukuba ngexesha kufuna uncedo yeengcali. Baya ukuxilonga ubone otitis. Iimpawu kunye nonyango lwesifo - ezi yimiba ebalulekileyo ekufuneka iqwalaselwe nechazwe LORom kuphela.

lokufunyaniswa kwesifo

Ekuqaleni, lo gqirha abangaboniyo lokuhlola indlebe engaphandle. Xa otitis uyakwazi ukubona iimeko ezifana:

• fluid endlebeni ophakathi, okubangela ukuba adhesion i inwebu ukuya ithambo;
• amaqamza;
• ubukho nasemigodini indlebe;
• nendlebe awabi;
• inwebu (intshabalalo yayo) deformation.

Iimvavanyo zokuChonga:

1. Ukuva uvavanyo ekufunyanisweni yokunciphisa ubuzaza kwetyala.
2. Cazulula lolwabiwo indlebe. Banceda amisele uhlobo losulelo, ezaba umcimbi wophuhliso izifo ezingapheliyo.
3. CT intloko kwisisu ukuze ukubona ubukho iinkqubo ithambo.

unyango lokuqala

Into yokuqala ukwenza zokuzicoca yomoya. Ukwenza le nkqubo kufuneka asuse adenoids kunye polyp. Oku kubuyisela ukuphefumla. Kwakhona umntu kubizwa kut- ukusebenza eqhelekileyo endlebeni ukusetshwa ayeke yophuhliso inkqubo ezosulelayo kweenjongo eziphambili zale nkqubo.

Kudla wavelisa mini-ngoncedo kwinkqubo leyo kulula ukususa granulation, kucothe yayikukuphuphuma endalo ubovu fluid. Ukufezekisa le njongo kucetyiswa moxibustion nee-asidi.

unyango lwezifo

Kwinto yokuba kusekwe inkqubo kwiintetho ezikralayo, kufuneka kuqala coca indlebe em- ubomvu.

media Otitis abadala abadinga unyango, ezifana:

1. Nomoya tube.
2. Ngamanzi le ebulala indlebe.
3. Shell processing boric utywala, "resorcinol", "furatsilina", "hinozola", "granulin".
4. ukuxinana Intshayelelo, vasoconstrictors amachiza (xa kwimeko nokudumba kakhulu).
5. Sebenzisa imithi ngohlobo kuncipha. Oku kube "penicillin", "Polymyxin", "Dioksidin", "streptomycin" okanye "sintomitsina".
6. Nokubandakanywa enqanda proteolytic, ezifana "trypsin", "Chymotrypsin", "Lidaza", "Lysozyme".
7. Ukusetyenziswa antimycotics kwimeko otitis ezinzwaneni (ngokuba turundas): "fluconazole", "ketoconazole".
8. inducers input interferon Local, hyperimmune plasma.

antibiotics Ukuthatha kunokubangela ngokubonakala negazi kunye nosulelo fungal sendlebe kwisisu. Amachiza ezinjalo nefuthe kuphuhliso sifo. Ukuze ufumane nabo kufuneka siphathwe ngenkathalo athobele zonke iingcebiso gqirha.

Isigaba sokugcina konyango

Emva eendaba, okanye mandithi otitis - emva ukuncipha acute ukudumba ubabalo uya kukuzisela iindlela impilo yomzimba:

• electrophoresis;
• lokungcangcazela massage;
• unyango microwave;
• UHF;
• therapy ngodaka;
• pneumomassage.

Njengoko ubona, unyango ende kakhulu enzima. Kwaye kwezinye iimeko ndlela ukuphelisa esi sifo uqhaqho. Ngoko ke, qikelela ukuba impilo yakho ngendlela efanelekileyo, nceda qhagamshelana yincutshe.